TRACEY KOCH FNP
NPI 1295741239
Family Medicine in Sandpoint, ID

Active since July 31, 2006
420 N SECOND AVE, SUITE 100, SANDPOINT, ID 83864(208) 265-2242(208) 265-8214 Get Directions Write a Review

NPPES record last updated: June 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracey Koch Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACEY KOCH FNP (NPI 1295741239) is an individual family medicine provider in Sandpoint, Idaho, licensed in Idaho (NP461A) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1295741239
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTRACEY KOCHCredential: FNP
Location Address420 N SECOND AVE, SUITE 100Sandpoint, ID 83864-1565
Mailing Address420 N Second Ave, Suite 100Sandpoint, ID 83864-1565 · (208) 265-2242 · Fax (208) 265-8214
Fax(208) 265-8214
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateJune 1, 2012
NPI 1295741239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ID · NP461A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
420 N SECOND AVE, Sandpoint, ID 83864

Other Identifiers 3

Medicare ID-Type Unspecified1343429ID
Medicare UPINP54789ID
Medicaid806191100ID

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
420 N SECOND AVE, 100
SANDPOINT, ID 83864
Specialist
420 N SECOND AVE, STE 100
SANDPOINT, ID 83864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracey Koch's NPI number?

The NPI number for Tracey Koch is 1295741239. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Tracey Koch located?

Tracey Koch practices at 420 N Second Ave Suite 100, Sandpoint, ID 83864. The listed phone number is (208) 265-2242.

What is Tracey Koch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Tracey Koch was last updated on June 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.